Cargando…
Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture
BACKGROUND: For various reasons, some elderly patients with femoral neck fracture undergo delayed surgical treatment. There is little information about the effect of delayed treatment on postoperative hip function and quality of life. The aim of this study was to investigate the effect of delayed hi...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7382034/ https://www.ncbi.nlm.nih.gov/pubmed/32709227 http://dx.doi.org/10.1186/s12891-020-03521-w |
_version_ | 1783563169990443008 |
---|---|
author | Song, Jidong Zhang, Gensheng Liang, Jialin Bai, Chuanyi Dang, Xiaoqian Wang, Kunzheng He, Caiyou Liu, Ruiyu |
author_facet | Song, Jidong Zhang, Gensheng Liang, Jialin Bai, Chuanyi Dang, Xiaoqian Wang, Kunzheng He, Caiyou Liu, Ruiyu |
author_sort | Song, Jidong |
collection | PubMed |
description | BACKGROUND: For various reasons, some elderly patients with femoral neck fracture undergo delayed surgical treatment. There is little information about the effect of delayed treatment on postoperative hip function and quality of life. The aim of this study was to investigate the effect of delayed hip arthroplasty on hip function, quality of life, and satisfaction in patients with femoral neck fractures. METHODS: Forty-seven patients with femoral neck fracture and hip replacement delayed over 21 days served as the delayed group (D group). Patients with femoral neck fracture, matched 1:1 for age and sex, and hip replacement within 7 days served as the control group (C group). The Harris hip score (HHS) and health-related quality of life (HRQoL) were assessed before surgery and 3 months, 6 months and 1 year postoperatively. The satisfaction questionnaires were completed by the patients themselves at the last follow-up. RESULTS: The HHS in the C group was lower than that in the D group (32.64 ± 9.11 vs. 46.32 ± 9.88, P < 0.05) before surgery but recovered faster after surgery. The HHS in the D group was lower than that in the C group 1 year postoperatively (85.2 ± 3.80 vs. 89.8 ± 3.33, P < 0.05). The patients’ quality of life changed similarly to their HHS. The HHS 1 year after surgery was related to the preoperative HHS in group D (r(s) = 0.521, P < 0.01). Patients in the D group showed significantly higher satisfaction scores than those in the C group (P < 0.05). CONCLUSIONS: Hip function in patients with femoral neck fracture surgery delayed over 21 days recovered more slowly than that in those who underwent surgery within 7 days. However, they were more satisfied with the surgery. Moderate hip movement to ameliorate the lower limb muscle atrophy was recommended for patients facing a temporary inability to undergo surgery. |
format | Online Article Text |
id | pubmed-7382034 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73820342020-07-27 Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture Song, Jidong Zhang, Gensheng Liang, Jialin Bai, Chuanyi Dang, Xiaoqian Wang, Kunzheng He, Caiyou Liu, Ruiyu BMC Musculoskelet Disord Research Article BACKGROUND: For various reasons, some elderly patients with femoral neck fracture undergo delayed surgical treatment. There is little information about the effect of delayed treatment on postoperative hip function and quality of life. The aim of this study was to investigate the effect of delayed hip arthroplasty on hip function, quality of life, and satisfaction in patients with femoral neck fractures. METHODS: Forty-seven patients with femoral neck fracture and hip replacement delayed over 21 days served as the delayed group (D group). Patients with femoral neck fracture, matched 1:1 for age and sex, and hip replacement within 7 days served as the control group (C group). The Harris hip score (HHS) and health-related quality of life (HRQoL) were assessed before surgery and 3 months, 6 months and 1 year postoperatively. The satisfaction questionnaires were completed by the patients themselves at the last follow-up. RESULTS: The HHS in the C group was lower than that in the D group (32.64 ± 9.11 vs. 46.32 ± 9.88, P < 0.05) before surgery but recovered faster after surgery. The HHS in the D group was lower than that in the C group 1 year postoperatively (85.2 ± 3.80 vs. 89.8 ± 3.33, P < 0.05). The patients’ quality of life changed similarly to their HHS. The HHS 1 year after surgery was related to the preoperative HHS in group D (r(s) = 0.521, P < 0.01). Patients in the D group showed significantly higher satisfaction scores than those in the C group (P < 0.05). CONCLUSIONS: Hip function in patients with femoral neck fracture surgery delayed over 21 days recovered more slowly than that in those who underwent surgery within 7 days. However, they were more satisfied with the surgery. Moderate hip movement to ameliorate the lower limb muscle atrophy was recommended for patients facing a temporary inability to undergo surgery. BioMed Central 2020-07-24 /pmc/articles/PMC7382034/ /pubmed/32709227 http://dx.doi.org/10.1186/s12891-020-03521-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Song, Jidong Zhang, Gensheng Liang, Jialin Bai, Chuanyi Dang, Xiaoqian Wang, Kunzheng He, Caiyou Liu, Ruiyu Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
title | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
title_full | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
title_fullStr | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
title_full_unstemmed | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
title_short | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
title_sort | effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7382034/ https://www.ncbi.nlm.nih.gov/pubmed/32709227 http://dx.doi.org/10.1186/s12891-020-03521-w |
work_keys_str_mv | AT songjidong effectsofdelayedhipreplacementonpostoperativehipfunctionandqualityoflifeinelderlypatientswithfemoralneckfracture AT zhanggensheng effectsofdelayedhipreplacementonpostoperativehipfunctionandqualityoflifeinelderlypatientswithfemoralneckfracture AT liangjialin effectsofdelayedhipreplacementonpostoperativehipfunctionandqualityoflifeinelderlypatientswithfemoralneckfracture AT baichuanyi effectsofdelayedhipreplacementonpostoperativehipfunctionandqualityoflifeinelderlypatientswithfemoralneckfracture AT dangxiaoqian effectsofdelayedhipreplacementonpostoperativehipfunctionandqualityoflifeinelderlypatientswithfemoralneckfracture AT wangkunzheng effectsofdelayedhipreplacementonpostoperativehipfunctionandqualityoflifeinelderlypatientswithfemoralneckfracture AT hecaiyou effectsofdelayedhipreplacementonpostoperativehipfunctionandqualityoflifeinelderlypatientswithfemoralneckfracture AT liuruiyu effectsofdelayedhipreplacementonpostoperativehipfunctionandqualityoflifeinelderlypatientswithfemoralneckfracture |